Individual provider Active NPI

Dipika Misra, M.D.

  • Medical Oncology Physician
  • Charlotte, NC
National Provider Identifier
1427146158
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2010-01065 Issued in NC
Practice address
125 Queens Rd Ste 520
Charlotte, NC 28204-3215
Phone
(980) 302-6500
Fax
(980) 302-6505
NPI assigned
Oct 10, 2006
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 239679 NY
Hematology & Oncology Physician 207RH0003X 239679 NY
Hematology & Oncology Physician 207RH0003X 2010-01065 NC
Medical Oncology Physician 207RX0202X 2010-01065 NC Primary

Addresses

Primary practice location

125 Queens Rd Ste 520
Charlotte, NC 28204-3215

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

2711 Randolph Rd.
Suite 100
Charlotte, NC 28207-2027
Phone (704) 342-1900

Other practice location 2

2711 Randolph Rd.
Suite 100
Charlotte, NC 28207-2027
Phone (704) 342-1900

Other practice location 3

1718 E 4th St Ste 707
Charlotte, NC 28204
Phone (704) 316-4485

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dmisra44896@direct.novanthealth.org
Direct Messaging Address dmisra44896@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000667 NC Practitioner - Medical OncologyPractitioner - Hematology 2062607757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Emory University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Charlotte, NC 28204-3215

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-9073

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010-01065NCMDHematology & Oncology Physician
239679NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
The Presbyterian Hospital Hematology & Oncology CurrentSince Feb 1, 2019 Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Hematology & Oncology Past Accepting new patients

Locations

10905 Providence Rd W
Ste 150
Charlotte, NC 28277
Phone (980) 302-7120

125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (980) 302-6400

125 Queens Rd
Ste 420
Charlotte, NC 28204
Phone (980) 302-6450

125 Queens Rd
Ste 430
Charlotte, NC 28204
Phone (980) 302-6300

125 Queens Rd
Ste 520
Charlotte, NC 28204
Phone (980) 302-6270

125 Queens Rd
Ste 540
Charlotte, NC 28204
Phone (980) 302-6560

125 Queens Rd
Ste 560
Charlotte, NC 28204
Phone (980) 302-6270

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-2670

10030 Gilead Rd
Ste 350
Huntersville, NC 28078
Phone (704) 799-3946

1700 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 841-8151

Interoperability endpoints

  • Direct secure messaging: dmisra44896@direct.novanthealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1427146158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 QUEENS RD STE 520",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043215",
            "telephone_number": "980-302-6500",
            "fax_number": "980-302-6505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 Randolph Rd.",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072027",
            "country_code": "US",
            "telephone_number": "704-342-1900",
            "fax_number": "704-342-9571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2711 Randolph Rd.",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072027",
            "country_code": "US",
            "telephone_number": "704-342-1900",
            "fax_number": "704-342-9571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1718 E 4th St Ste 707",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28204",
            "country_code": "US",
            "telephone_number": "704-316-4485",
            "fax_number": "704-316-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISRA",
        "first_name": "DIPIKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "239679",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "239679",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2010-01065",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "2010-01065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmisra44896@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2711 Randolph Rd.",
            "address_2": "Suite 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282072027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmisra44896@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "125 Queens Rd Ste 520",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.